SLP 477 Final - updated

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183 Terms

1
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What is the most appropriate instumental evaluation to assess infant pharyngeal swallow function withour radiation exposure

FEES- Fiberoptic Endoscopic Evaluation of Swallowing

2
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When can a child use a spoon independently

12-18 months

3
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What phase of swallowing in infants involved bolus transfer from the tongue to the pharynx

Oral phase

4
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What is a behavior based swallowing screening tool

Mealtime Behavioral Questionnaire

5
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A child frequently spits out food and gags on textured solids. What phase is most likely affected

Oral Preparatory Phase

6
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What is a key difference in infant anatomy that supports safe swallowing compared to older children

Higher Laryngeal Position

7
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What condition is most likely to disrupt suck-swallow-breathe coordination in a premature infant

Nasal Congestion

8
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What is a non-instrumental assessment tool used to evaluate oral feeding skills in infants

Pediatric Swallowing Assessment Scale

9
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What is a common feeding sign in infants with laryngomalacia

Laryngomalacia: noisy breathing due to the collapse of soft tissues in the voice box (larynx) during inhalation

Stridor During Feeding

Stridor(harsh or grating sounds)

10
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What reflex supports nipple finding in newborns

Rooting

11
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What is the first step in evaluating pediatric feeding and swallowing difficulties

Review Medical and Developmental History

12
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What contributes to efficient sucking in a newborn

Buccal Fat Pads

13
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In infants, the swallow is triggered at which anatomical landmark

Anterior Faucial Pillars

14
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A 2 month old infant is bottle fed and takes over 45 minutes to finish feeds. What is the best recommendation

Refer for feeding and swallowing assessment

15
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T/F: The oral preparatory phase in infants includes only voluntary movements

False

16
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T/F: The pharyngeal phase of swallowing in infants is completely under voluntary control

False

17
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T/F: A hyperactive gag reflex in toddlers is always a normal developmental finding

False

18
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T/F: Drooling beyond 24 months may suggest oral motor immaturity or dysfunction

True

19
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T/F: Coughing while drinking from a bottle in an infant can be a sign of aspiration

True

20
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T/F: Silent aspiration is difficult to detect without instrumental assessment

True

21
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T/F: Poor coordination of suck swallow breathe is frequently seen in premature infants

True

22
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T/F: A tongue thrust reflex persisting past infancy may affect later speech and feeding development

True

23
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T/F: Parental feeding practices and mealtime routines are not relevant to pediatric dysphagia assessments

False

24
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T/F: Feeding and swallowing difficulties in infants can affect growth, hydration, and quality of life

True

25
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Rooting Reflex

Helps infant locate nipple

26
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The Suck Reflex (does what)

Draws liquid into the mouth

27
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Gag Reflex

Prevents entry of material into the throat

28
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Swallow Reflex

Transfers bolus from the oral cavity

29
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The Oral Motor Assessment Scale evaluates…

Evaluates oral movement during feeding

30
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The Pediatric Eating Assessment Tool screens…

Screens for feeding and swallowing difficulties

31
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Mealtime Behavioral Questionnaire

Captures behavior during meals

32
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Fiberoptic Endoscopic Evaluation of Swallowing

Visualizes pharyngeal and laryngeal function

33
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Cranial Nerve V (Trigeminal)

Chewing and Jaw Stability

34
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Cranial Nerve VII (Facial)

Lip closure and facial movement

35
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Cranial Nerve IX (Glossopharyngeal) G for…?

Gag reflex and taste

36
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Cranial Nerve XII (Hypoglossal)

Tongue movement and strength

37
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The Velum does what

Seals Nasopharynx

38
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Purpose of the Larynx

Protects airway during swallowing

39
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The tongue … (does what?)

Directs bolus and supports suction

40
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The Buccal Fat Pads provide…

Provides cheek stability during feedings

41
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People with Cerebral Palsy have ….

Poor oral tone and limited control

42
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Prematurity results in what feeding difficulty

Poor coordination of suck-swallow-breathe

43
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someone with Down Syndrome might have…

Large tongue, hypotonia(low muscle tone)

44
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Autism Spectrum Disorder

Sensory Based Food Aversions

45
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Wet Vocal Quality

Penetration or aspiration

46
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Coughing During Feeding

Post-Swallow Residue

47
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Arching and Crying

Gastroesophageal Reflux

48
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Nasal Regurgitation

Velopharyngeal Dysfunction

49
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Begins Purees at what age?

4-6 Months

50
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Age for Transitions to Solids

6-9 Months

51
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When can a child Drink from an open cup

9-12 Months

52
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Rooting Reflex Age

3-6 Months

53
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Suck Reflex Age

6-9 Months

54
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Phasic Bite Reflex Age

4-6 Months

55
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Transverse Tongue Reflex Age

9-12 Months

56
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Turning Head Away

Avoidance Due to Stress

57
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Holding Food In Mouth means there is…

Oral Motor Delay

58
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Gagging without Oral Input

Hypersensitivity or Reflex

59
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Refusing to Sit at Table

Sensory-Based Feeding Aversion

60
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Infant arches during bottle, what evaluation do we recommend?

Reflux Evaluation

61
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If a child refuses all meats, what testing do we suggest?

Behavioral Feeding Screen

62
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If we hear Gulping Sounds During Bottle, what assessment would we use?

Instrumental Assessment Referral

63
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Toddler Feeds Longer Than 45 Minutes, what type of evaluation would we recommend

Oral Phase Evaluation

64
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Side Lying Bottle Feeding

Reduce Fatigue

65
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External Pacing

Improve Coordination

66
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Flavored Boluses

Increased Oral Sensory Input

67
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Slow Flow Nipples

Flow Regulation

68
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Provide Chaining Chart

Encourage Variety

69
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Purpose of Teaching Paced Feeding

Improve Coordination

70
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Demonstrate Oral Massage

Strengthen Oral Patterns

71
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Video Recorded Mealtime

Support Home Carryover

72
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What feeding strategy is commonly used for preterm infants to help organize sucking patterns

Non-Nutritive Sucking

73
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What is a potential benefit of using a side lying feeding position in infants

Reduces fatigue and improves coordination

74
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What treatment strategy is commonly used with infants with gastroesophageal reflux

Using upright feeding posture

75
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What intervention is most appropriate for an infant with poor lip closure during feeding

Lip-Strengthening Exercises

76
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What is the most appropriate technique for improving bolus propulsion in children with weak tongue muscles

Tongue Restistance Exercises

77
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What is the primary purpose of non-nutritive sucking

Facilitate oral motor development and readiness to feed

78
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What is true about infant driven feeding programs

Support cue based feeding to promote safety and comfort

79
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What would be part of an oral stimulation program for a child with reduced oral tone

Pressure brushing and jaw tapping

80
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What is a common modification for a child with delayed swallow initiation

Introducing sour bolus stimuli

81
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What is a key characteristic of food chaining

Gradually introducing new foods based on accepted preferences

82
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What is the rationale of using thickened liquids in pediatric dysphagia management

Slow bolus flow and reduce aspiration risk

83
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What best describes the purpose of a spoon placement technique in oral motor feeding therapy

Improve bolus control and lip closure

84
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What team member is most responsible for positioning and adaptive equipment during pediatric mealtimes

Occupational Therapist

85
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What treatment approach emphasizes behavioral reinforcement during pediatric feeding therapy

The sequential oral sensory (SOS) approach

86
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What technique is used to increase swallow initiation through sensory input

Thermal tactile stimulation

87
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What would be an appropriate intervention for a toddler with food refusal and tantrums at meals

Providing distraction free mealtime environment

88
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What feeding posture is recommended for an infant with laryngeal penetration on thin liquid

Side lying

89
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T/F: Children with down syndrome may benefit from thickened liquids due to hypotonia(low muscle tone)

True

90
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T/F: Texture progression is part of most pediatric feeding therapy programs

True

91
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T/F: A child's sensory processing profile should be considered in feeding treatment planning

True

92
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T/F: Children with autism spectrum disorder often benefit from rigid mealtime routines only

False

93
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T/F: Oral aversion can be addressed using graded exposure to sensory input

True

94
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T/F: Children with cleft palate may need special bottle systems and positioning

True

95
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T/F: It is appropriate to work on feeding skills even if a child is currently tube-fed

True

96
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T/F: External pacing may support infants who cannot coordinate sucking and breathing

True

97
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T/F: Multisensory appraoches may help children expand food acceptance

True

98
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T/F: Parent training is essential to successful pediatric feeding intervention

True

99
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Side Lying Position

Improves coordination in infants with fatigue

100
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How to support swallow breathe coordination

The use of External Pacing